| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
7,753 |
6,247 |
$184K |
| A7030 |
Cpap full face mask |
2,568 |
2,242 |
$91K |
| A7031 |
Replacement facemask interfa |
4,842 |
4,153 |
$79K |
| E0601 |
Cont airway pressure device |
3,918 |
3,354 |
$67K |
| A7032 |
Replacement nasal cushion |
2,182 |
1,848 |
$44K |
| A4604 |
Tubing with heating element |
2,411 |
2,102 |
$41K |
| A7034 |
Nasal application device |
1,663 |
1,440 |
$38K |
| E0562 |
Humidifier heated used w pap |
1,104 |
946 |
$20K |
| A7038 |
Pos airway pressure filter |
8,280 |
7,120 |
$18K |
| A7035 |
Pos airway press headgear |
2,354 |
2,029 |
$18K |
| E0431 |
Portable gaseous 02 |
3,222 |
2,642 |
$13K |
| A7033 |
Replacement nasal pillows |
792 |
669 |
$10K |
| E0260 |
Hosp bed semi-electr w/ matt |
585 |
510 |
$9K |
| A7037 |
Pos airway pressure tubing |
1,731 |
1,500 |
$8K |
| A7046 |
Repl water chamber, pap dev |
1,700 |
1,498 |
$8K |
| E1392 |
Portable oxygen concentrator |
791 |
634 |
$6K |
| K0001 |
Standard wheelchair |
541 |
416 |
$3K |
| E0570 |
Nebulizer with compression |
465 |
376 |
$2K |
| K0195 |
Elevating whlchair leg rests |
66 |
52 |
$157.49 |